2025 WSK 4YO Enrolment Application Form

As part of the Victorian State Government’s Reform, Wilson Street Kindergarten will receive funding for the 2025 4YO program.

It is important for families to carefully consider the best time to enrol their child in a 4YO program. It is expected children will transition to school the following year. Only children who meet the criteria for a second year of 4YO kindergarten will be eligible to access an additional year of a funded 4YO program.

Prior to starting this application, you will need your child's immunisation record and birth certificate saved ready for uploading.

Child Details

Child First Name *

Child Surname *

Child Date of Birth *

Child Gender

MaleFemale

Other:

What is the main language spoken at home? *

Home Address *

Has this child already attended a kindergarten program? *

3 Year Old4 Year OldNo

Are this child's immunisations up to date? Your child must be fully vaccinated by the time they attend kindergarten under the No Jab No Play law* *

YesNo

If you have answered no, please visit a health professional or Maternal and Child Health nurse to organise your immunisations before the kindergarten year begins. Evidence of up-to-date immunisation must be provided within two months of commencing kindergarten.

Is this child Aboriginal or Torres Strait Islander? *

Yes, Aboriginal Yes, Torres Strait IslanderYes, Aboriginal and Torres Strait IslanderNo

Is the child a triplet or quadruplet? *

YesNo

Does the child meet any of the following criteria?

Known to Child ProtectionFrom a refugee and asylum seeker backgroundsIs in Out of Home CareBeen referred by a Maternal and Child Health nurse, Child Protection, Early Childhood Learning Advisor, Child FIRST, Orange Door Integrated Family Services or Services Connect

Does the child require any additional support due to a disability including cognitive, sensory or physical impairement? *

Yes No

If yes, please provide details:

Do you or your child hold any of the following cards?

Commonwealth Health Care CardCommonwealth Pensioner Concession CardDepartment of Veterans' Affairs Gold Card or White CardHumanitarian or refugee visa

Parent/Guardian Details

Parent/Guardian no.1 First Name *

Parent/Guardian no. 1 Surname *

Relationship to child *

Parent/Guardian no. 1 Street Address (if different from child address above) *

Parent/Guardian no. 1 Mobile* *

Parent/Guardian no.1 Email Address* ** Note that you will be sent communications via text message to this phone number or email.

Main language spoken (if not English)

Parent/Guardian no. 2 First Name

Parent/Guardian no. 2 Surname

Parent/Guardian no. 2 Email Address

Parent/Guardian no. 2 Mobile

Home Address

4YO Program

Please ensure you read the available session times carefully before selecting your preferences. Note: the 2025 timetable is subject to change depending on enrolment and government requirements.

In 2025, WSK will offer:

4YO

15 hour funded + 3.5 hour non-funded program (Blue Gum)
15 hour funded + 7.5 hour non-funded program (Waratah)

Our 2025 timetable and fees are available on our website.

Your child must turn four years old by 30th April 2025 to apply for our 2025 4YO program.

Please select your FIRST preference *

Blue Gum: Tuesday 8.30am-4pm, Thursday 8:30am-4pm, Friday 12:30pm-4pmWaratah: Monday 8:30am-4pm, Wednesday 8:30am-4pm, Friday 8:30am-4pm

Please note: Teachers and educators for 2025 groups have not been confirmed. Please choose your preferences based on the session times that suit you best.

Please select your SECOND preference *

Blue Gum: Tuesday 8.30am-4pm, Thursday 8:30am-4pm, Friday 12:30pm-4pmWaratah: Monday 8:30am-4pm, Wednesday 8:30am-4pm, Friday 8:30am-4pm

Please note: Teachers and educators for 2025 groups have not been confirmed. Please choose your preferences based on the session times that suit you best.

Do you intend on sending your child to multiple child care/ kindergarten services in 2025? *

YesNo

Please provide the name of the service if known

Previous Sibling Information

Have you had previous children attend WSK? *

YesNo

Sibling Full Name/s

Year/s and Group Attended

Eligibility and priority of access criteria for a funded 4YO Program

In instances where more eligible children apply for a place at WSK than there are places available, the kindergarten must prioritise children based on the DET criteria below and work with other local kindergarten services and the regional department office to ensure all eligible children have access to a kindergarten place.

Priority of access children:

Are at risk of abuse or neglect, including out of home care
Are Aboriginal and/or Torres Strait Islander
Are, or have parents or carers who are, asylum seekers or refugees
Are eligible for the Kindergarten Fee Subsidy (hold a valid concession card or are a triplet or quadruplet)
Have additional developmental needs.

Children that fit one or more of those criteria will be allocated to a place in kindergarten as a high priority. This form will collect all the information required to determine if a child is eligible for Priority of Access.

If you believe you or your child are in exceptional circumstances which require prioritisation and are not covered by any of the above criteria, please contact Wilson Street Kindergarten to discuss.

Please refer to our Enrolment Policy for more information regarding our Enrolment process.

Birth Certificate

Please upload a copy of your child's birth certificate or passport.

If completing application form on a smartphone it is recommended to upload documents before submitting the form.

Child Birth Certificate *

Browse

Immunisation Certificate

Please upload a copy of your child's immunisation certificate. Only immunisation certificates obtained from the MyGov website will be accepted.

If completing application form on a smartphone it is recommended to upload documents before submitting the form.

Child Immunisation Certificate *

Browse

Declaration

I give permission for this information to be shared with Wilson Street Kindergarten for the purpose of accessing kindergarten and, if applicable, applications for State funding necessary to provide additional support for my child's participation.
*

I give permission for this data to be anonymised, de-identified and aggregated (and shared with identified third parties) to help forcast future needs and help to improve the service.
*

I declare that all of the information provided is true and correct.
*

Parent/ guardian name *

Parent/ guardian signature *

Draw signature|Type signatureClear

Application Fee

A non-fundable administration fee of $40 must be submitted for the application to be processed. The enrolment application fee is to cover administrative costs. Please record the receipt number before submitting the form.

BANK DETAILS

NAME: Wilson Street Kindergarten Inc

BSB: 633 000

ACCOUNT NUMBER: 147 378 863

REF: (child's full name)

** Please include child's name in reference line when transferring**

Record receipt number of your electronic transfer below *